JACK SURIANO PMHNP-BC
NPI 1275313165
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY
About Jack Suriano Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK SURIANO PMHNP-BC (NPI 1275313165) is an individual psychiatric/mental health provider in Stony Brook, New York, licensed in New York (405310-01) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Commack, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack Suriano Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jack Suriano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 133 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONY BROOK, NY 11794
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Suriano's NPI number?
The NPI number for Jack Suriano is 1275313165. It was assigned to this individual provider in the NPPES registry on September 29, 2023.
Where is Jack Suriano located?
Jack Suriano practices at Putnam Hall, Stony Brook, NY 11794. The listed phone number is (631) 632-2428.
What is Jack Suriano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jack Suriano enrolled in Medicare?
Yes. Jack Suriano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jack Suriano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Suriano reassigns Medicare benefits to Stony Brook Psychiatric Associates, University Faculty Practice Corpor (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Suriano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Suriano accept?
Health plans from Oscar Health list Jack Suriano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jack Suriano was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jack Suriano, PMHNP-BC · NPI 1275313165
Psychiatric/Mental Health physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since September 29, 2023.
## Identity
- **NPI:** 1275313165 (Entity type: Individual)
- **Enumerated:** September 29, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 405310-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PUTNAM HALL, Stony Brook, NY 11794-0001
- **Phone:** (631) 632-2428
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stony Brook Psychiatric Associates, University Faculty Practice Corpor (NPI 1437105905, Stony Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 18, 2025
- **Other identifiers:** Medicaid 1447968417 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1275313165) · Data from the CMS NPPES public registry.